Hysteroscopic Myomectomy

Welcome to the Caronette Fibroid & Pelvic Wellness Center (CFPWC), where we offer you a pathway to liberation from the grip of uterine fibroids. Allow us to introduce you to the remarkable world of myomectomy surgery—an innovative technique designed to alleviate fibroid symptoms, restore your fertility, and preserve the integrity of your uterus.

Embrace Minimally Invasive Transformation

Experience the marvels of our state-of-the-art laparoscopic myomectomy procedure, delicately crafted to liberate you from fibroid-related discomfort. Our skilled surgeons employ a minimally invasive approach, granting you a speedy recovery with minimal pain, scarring, and downtime. Embrace the freedom to reclaim your life, unburdened by the shackles of fibroid symptoms.

A New Lease on Life: Conditions Treated by Myomectomy

Bid farewell to the troublesome symptoms inflicted by uterine fibroids. Myomectomy surgery targets a range of distressing manifestations, including:

• Anemia
• Abnormal uterine bleeding
• Menorrhagia (heavy menstrual bleeding)
• Persistent pelvic pain and pressure unrelieved by medication
• Infertility or recurring miscarriages

Unlike a hysterectomy, which involves the removal of the uterus, myomectomy preserves your precious organ, making it an ideal choice for individuals yearning to embrace the joys of motherhood.

Navigating the Spectrum of Uterine Fibroids

Uterine fibroids, affectionately known as leiomyomas, manifest in various forms, depending on their location within the uterus. Let us guide you through the diverse landscape of fibroids:

• Intramural Fibroids: The most prevalent type, intramural fibroids emerge within the muscular wall of the uterus. These growths have the potential to reach significant sizes, causing the uterus to stretch and imposing discomfort.
• Subserosal Fibroids: These fibroids develop on the outer surface of the uterus. Not only can large subserosal fibroids cause pelvic pain, but they can also create a lopsided appearance of the uterus, leading to increased urinary frequency and constipation.
• Pedunculated Fibroids: A variation of subserosal fibroids, pedunculated fibroids extend from the outer surface of the uterus through a slender stem.
• Submucosal Fibroids: While less common, submucosal fibroids grow within the middle muscular layer of the uterus, often referred to as the uterine cavity. They may present unique challenges that require specialized attention.

 

The Artistry of Myomectomy Surgeries

Myomectomy can be performed through various approaches, each tailored to suit the specific characteristics of your fibroids. The choice of surgical technique depends on factors such as the number, size, and location of the fibroids. Rest assured, your comfort remains paramount, and you will receive general anesthesia or sedation to ensure a tranquil experience.

Abdominal Myomectomy: As the most comprehensive option, this surgery involves a larger incision in the abdominal wall. By providing a clear view of your pelvic organs, the surgeon skillfully removes the fibroid tissue. This method is ideal for cases involving large or deeply embedded fibroids.

Laparoscopic Myomectomy: Opt for the elegance of a less invasive treatment journey. Laparoscopy entails a series of small incisions in the abdomen. Through these incisions, a thin, flexible laparoscope is inserted, granting the surgeon a meticulous view of the organs through a specialized lens. Laparoscopic myomectomy is typically recommended for the removal of one or two fibroids measuring less than 2 inches in diameter. At our facility, we take pride in offering this advanced outpatient procedure, expertly performed by Dr. Aliabadi, a pioneer in the field of minimally-invasive laparoscopic surgery. Discover the possibilities of a swift recovery and bid farewell to fibroid-related concerns.

Hysteroscopic Myomectomy: Step into a realm of exquisite surgical artistry where the procedure unfolds through the vagina and cervix. After gentle cervical dilation, a hysteroscope is introduced to provide a clear view of the uterine interior. This technique primarily addresses submucosal fibroids that develop within the uterine cavity. Using cutting-edge technology, the fibroid is delicately severed with electrical precision, and the surgeon effortlessly removes it through the vagina.

Unveiling the Horizon: Exploring Myomectomy Risks
Every surgical endeavor entails certain risks, but rest assured, your doctor will take every precaution to ensure your well-being. While myomectomy carries its own set of risks, they are diligently managed during the procedure.

These risks may include:

Potential damage to pelvic tissues, such as the uterus, fallopian tubes, ovaries, bladder, or bowels.
Formation of scar tissue (adhesions) that may lead to pain or infertility.
Scarring may present challenges during future pregnancies or childbirth.
The possibility of infection in the ovaries, fallopian tubes, or uterus.
Intraoperative blood loss or heavy bleeding.
 

Embarking on a Journey of Recovery

The recovery period following a myomectomy varies depending on the type of surgery performed. To optimize your healing process, we strongly encourage you to attend all follow-up appointments and promptly communicate any concerns to your OB/GYN.

Abdominal Myomectomy: Expect a hospital stay of 1-3 days, followed by a recovery period of 4-6 weeks.

Laparoscopic Myomectomy: Experience a shorter hospital stay, typically 0-1 day, with a recovery period of 1-2 weeks.

Hysteroscopic Myomectomy: Enjoy the benefit of no hospital stay, as this procedure allows for a quicker recovery period ranging from 3-14 days.

While it is not uncommon for fibroids to recur even after a myomectomy, rest assured that our experts are here to support you throughout your journey. Studies suggest that between 1-5 out of every 10 women may experience the return of uterine fibroids following a myomectomy. However, with our compassionate care and expertise, we are committed to guiding you toward optimal long-term solutions.

Blossoming Dreams: Myomectomy and Pregnancy

For individuals seeking to enhance their chances of conceiving, a myomectomy provides a promising pathway. It is advisable to pursue pregnancy soon after the surgery, as the likelihood of fibroid recurrence increases over time.

While pregnancy following a myomectomy is entirely possible, it’s essential to note that there is a slightly elevated risk of complications involving the placenta, such as placenta abruption or placenta accreta. Your doctor may recommend a Cesarean section based on the size and location of the surgical site and the potential impact on labor.

Embrace the transformative power of myomectomy surgery as it sets you on a course toward a brighter future—one where the possibilities of motherhood are limitless.

At our center, we are dedicated to supporting your dreams of starting or expanding your family.

As you embark on this extraordinary journey, trust in our unwavering commitment to your well-being. Our team of experienced professionals will guide you every step of the way, ensuring that you receive the highest level of care and attention.

Discover the freedom from fibroid symptoms and the potential for improved fertility with a myomectomy. Allow us to be your partners in reclaiming your health and empowering your reproductive journey. Contact us today to schedule a consultation with Dr. Stitt and take the first step toward a future filled with hope, joy, and the fulfillment of your deepest desires. Together, let’s pave the way to a life brimming with possibilities.

Have more questions about myomectomy surgery? Make an appointment with Dr. Stitt — Maryland’s best myomectomy surgeon.